| NPI | 1972135192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2025-03-27 |